Background: Uterine rupture achieves a solution of continuity of the thickness of the wall of the womb. It can be spontaneous or provoked. It can occur during work (most often) or during pregnancy. In all cases, although this occurs in the third trimester of pregnancy, uterine rupture can also occur before this period of gestation, the second trimester of pregnancy.
Case: A 29-year-old woman, gesture 8, par 8, with a history of in utero death and uterine incision presented a hemoperitoneum picture of a 26-year-old pregnancy. She consulted 8 hours after the sudden onset of severe abdominal pain and metrorrhagia. Uterine rupture was observed during laparotomy, and adequate maternal management was performed.
Conclusion: The occurrence of uterine rupture should be suspected before any hemoperitoneum, hemodynamic instability or metrorrhagia, even before the third trimester of pregnancy. Early diagnosis could improve the fetal-maternal prognosis.